Roh Jong-Lyel
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Republic of Korea.
Acta Otolaryngol. 2006 Mar;126(3):318-20. doi: 10.1080/00016480500388919.
Cervical vagal schwannomas are extremely rare and gross total resection is the standard treatment modality. However, because the conventional cervical approach leaves an incision scar in a visible area, other approaches need to be developed for young women who want the postoperative scar to be invisible. A 28-year-old female underwent complete resection of a 4x4 cm tumor in her right upper neck via a post-auricular approach using an inverted V-shaped incision along the post-auricular sulcus and hairline. The tumor was a schwannoma originating from the right cervical vagus nerve. Postoperatively, right vocal cord paralysis developed despite careful dissection but completely recovered within 6 months after surgery. The patient was satisfied with an invisible external scar which was hidden by her auricle and hair. A cervical vagal schwannoma can be successfully removed by making an incision in a potentially invisible area.
颈段迷走神经鞘瘤极为罕见，手术全切是标准的治疗方式。然而，由于传统的颈部手术切口会留在可见部位，对于希望术后不留明显瘢痕的年轻女性而言，需要探索其他手术入路。一名28岁女性通过沿耳后沟和发际线作倒V形切口的耳后入路，成功切除了右上颈部一个4×4 cm的肿瘤。该肿瘤为起源于右侧颈段迷走神经的神经鞘瘤。术后尽管手术操作精细，仍出现了右侧声带麻痹，但在术后6个月内完全恢复。患者对隐蔽于耳廓和头发后的无痕外观感到满意。通过在潜在隐蔽部位作切口，可成功切除颈段迷走神经鞘瘤。
